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DAMAS HOSPITAL SNF

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DAMAS HOSPITAL SNF is a non profit - corporation facility in PONCE, PR with 25 certified beds and a 4-star overall CMS rating. The facility has 38 deficiency records on file. Total penalties: $11K.

2213 PONCE BY PASS, PONCE, PR 00717

Phone: 7878408686

Overall Rating

4/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

N/A

Long-Stay Quality

N/A

Facility Information

Provider Number
405023
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
25
Residents
18
In Hospital
Yes
County
Ponce
Last Inspection
Mar 28, 2025

Staffing Data

RN Hours
4.19 (nat'l avg: 0.68)
LPN Hours
0.81
CNA Hours
0.00
Total Nursing Hours
4.99 (nat'l avg: 3.89)
PT Hours
1.61
Nursing Turnover
13.6%
RN Turnover
11.1%

What the CMS Record Reveals About DAMAS HOSPITAL SNF

DAMAS HOSPITAL SNF operates 25 certified beds in PONCE, PR with approximately 18 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (N/A★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 38 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $11K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.99 total nursing hours per resident day (national average 3.89), with RN coverage at 4.19 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider embedded within a hospital campus, DAMAS HOSPITAL SNF falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 13.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D — Isolated - Minimal harm Mar 28, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Mar 28, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Mar 28, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Mar 28, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Mar 28, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Mar 28, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Mar 28, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Mar 28, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Mar 28, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Mar 28, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 9, 2025

F — Widespread - Minimal harm Oct 30, 2024 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 4, 2025

F — Widespread - Minimal harm Oct 30, 2024 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Feb 7, 2025

F — Widespread - Minimal harm Oct 30, 2024 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Feb 7, 2025

F — Widespread - Minimal harm Oct 30, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Oct 30, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 7, 2025

D — Isolated - Minimal harm Oct 30, 2024 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 13, 2025

D — Isolated - Minimal harm Oct 30, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 7, 2025

E — Pattern - Minimal harm May 17, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: May 28, 2024

F — Widespread - Minimal harm May 17, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 26, 2024

F — Widespread - Minimal harm May 17, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 20, 2024

F — Widespread - Minimal harm May 17, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: May 24, 2024

F — Widespread - Minimal harm May 17, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 20, 2024

D — Isolated - Minimal harm May 17, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 20, 2024

D — Isolated - Minimal harm May 17, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2024

D — Isolated - Minimal harm May 17, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 21, 2024

G — Isolated - Actual harm May 17, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 20, 2024

E — Pattern - Minimal harm May 17, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Jun 28, 2024

D — Isolated - Minimal harm May 17, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jun 21, 2024

E — Pattern - Minimal harm May 17, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm May 17, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 21, 2024

F — Widespread - Minimal harm Apr 13, 2023 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 5, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 29, 2023

C — Widespread - No harm Apr 13, 2023 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 5, 2023

C — Widespread - No harm Apr 13, 2023 Tag: 0741

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Category: Quality of Life and Care Deficiencies

Corrected: May 12, 2023

C — Widespread - No harm Apr 13, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: May 26, 2023

F — Widespread - Minimal harm Apr 13, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 26, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 26, 2023

E — Pattern - Minimal harm Apr 13, 2023 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 19, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.5% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 1 penalties totaling $11K

Date Type Amount
May 17, 2024 Fine $11K

Frequently Asked Questions

What is the overall CMS rating for DAMAS HOSPITAL SNF?
DAMAS HOSPITAL SNF has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (null★).
What are the staffing levels at DAMAS HOSPITAL SNF?
DAMAS HOSPITAL SNF reports 4.99 total nursing hours per resident day (national average: 3.89). RN hours are 4.19 per resident day (national average: 0.68). Nursing staff turnover is 13.6%.
How many beds does DAMAS HOSPITAL SNF have?
DAMAS HOSPITAL SNF has 25 certified beds with approximately 18 residents. The facility is located at 2213 PONCE BY PASS, PONCE, PR 00717.
Does DAMAS HOSPITAL SNF have any deficiencies on record?
Yes, DAMAS HOSPITAL SNF has 38 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has DAMAS HOSPITAL SNF received any fines or penalties?
Yes, DAMAS HOSPITAL SNF has received 1 penalties totaling $11K.
Who owns DAMAS HOSPITAL SNF?
DAMAS HOSPITAL SNF is classified as "Non profit - Corporation" ownership. The facility type is "Medicare" and is located within a hospital.
When was DAMAS HOSPITAL SNF last inspected?
The most recent health inspection for DAMAS HOSPITAL SNF was on Mar 28, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for DAMAS HOSPITAL SNF?
DAMAS HOSPITAL SNF is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial